Based on facility policy review, medical record review, and interview, the facility failed to ensure a safe discharge for 2 residents (Resident #249 and Resident #250) of 5 residents reviewed for discharge. The facility's failure resulted in Resident #249, who was homeless, being discharged to an unknown friend's house who did not allow the resident to stay, Resident #249 then walked to another friend's house who drove him to a motel where Resident #249 resided for approximately 2 months at which time he was evicted from the motel and hitchhiked to another friend's house. Additionally, the facility's failure resulted in Resident #250 being home alone where she sat in a wheelchair for 4 days in urine and feces before she was provided incontinence care by a home health staff. …
F660 citations in Tennessee
Discharge planning · Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Tennessee cites F660 more often than its own record predicts
1.41 times the share F660 takes of citations nationally.
Of every deficiency written in Tennessee in 2023, this is the portion that was F660.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F660 findings written in Tennessee, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on facility policy review, medical record review, hospital record review, and interviews, the facility failed to implement an effective discharge planning process to ensure a safe and effective discharge, and failed to modify the discharge plan when it was identified the resident did not have a safe discharge destination, Primary Care Physician (PCP) or caregiver support, for 1 of 3 residents (Resident #7) reviewed for discharge planning. The facility's failure to ensure the resident's discharge needs were met resulted in Resident #7 being discharged to a motel with no community support and being hospitalized 4 days after discharge because the resident could not independently manage self-care (Harm). …
Based on medical record review and interview, the facility failed to develop and implement an effective discharge planning process for 1 of 40 sampled residents (Resident #32) reviewed for potential discharge. The findings include: Review of the undated facility policy titled, Transfer or Discharge, Facility-Initiated, revealed, .A post-discharge plan is developed for each resident .This plan will be reviewed with the resident, and/or his or her family . Review of the medical record revealed Resident #32 admitted to facility on 9/21/2020 with diagnoses which included Atherosclerotic Heart Disease and Displaced Comminuted Fracture of Right Arm. …
What else Tennessee surveyors cite →
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